ACL Injury – Five Tips for Rapid Recovery

April 12, 2018

Warm evening in Venice

The ACL (Anterior Cruciate Ligament) is one of four crucial ligaments that provide strength and stability to the knee. The others are the PCL (Posterior Cruciate Ligament), MCL (Medial Collateral Ligament), and LCL (Lateral Collateral Ligament). The MCL and LCL are on the inner and outer sides of the knee and run vertically whereas the ACL and PCL cross beneath the kneecap from top to bottom.

The ACL and PCL have a very poor blood supply which means that reconstructive surgery is usually required and a graft used to replace a torn ACL/PCL. Indeed, as the PCL is much stronger than the ACL, it is the ACL that is most often torn (200,000 cases per annum in the US alone) and it is the ACL injury that is, therefore, such a debilitating injury.

This article provides 5 key tips for rapid recovery from ACL injury. These are from my own personal experience. I quickly recovered from a full house of complete ACL, MCL and LCL tears, and I have documented what I believe to be the key factors associated with that rapid recovery.

Tip 1

In terms of ACL recovery secrets, the single most important factor for a quick recovery – a factor that improves the recovery time by a factor of 2 or greater – is the type of graft chosen. Of course, you should consult with your surgeon on what is best for you and, if you’re a professional athlete, my recommendation is not likely to be the best choice. However, for the rest of us casual athletes, this recommendation will see you recover way quicker than any other.

Grafts tend to be of the following three types:

  • Patellar tendon – a piece of your own tendon is taken and used to replace the ACL. It matches tissue well and allows bone to bone healing which is strong but this can lead to anterior knee pain for years to come.
  • Hamstring tendon – two tendons are taken from the hamstring and bound together and used as the graft. Healing can take longer because there is no bone to bone healing but this graft alleviates anterior knee pain.
  • Cadaver – donor tissue. This has the advantage of requiring less operation time, being less painful and allowing for smaller incisions. The focus is on one area only and is much less disruptive as there is no secondary operation to remove the graft from the patella or hamstring. The disadvantage of a cadaver graft is that it is not as strong as the other graft types.

I had ACL surgery on day 34 after incurring my injury. Four days later I was off painkillers, was not using crutches or my knee brace and was starting post surgery physical therapy. I had a cadaver graft. This contrasted with other people I know who had grafts taken from their own bodies and were largely incapacitated for two weeks post-surgery.

So for non-professional athletes my number one tip for a quick recovery from ACL surgery would be to take a cadaver graft.

Tip 2

Use RICE techniques (rest, ice, compression, elevation) immediately post-injury, up to surgery and then afterward. This is somewhat obvious but, for rapid ACL recovery, take it to extremes. For example, in my case, the discipline that helped me enormously with my leg inflammation was passing up on situations where I would have to sit with my leg hanging down. I was lucky in that I work in an office and was always able to sit with my leg supported by another chair, but dining out, eating at the dining table at home were all passed up in favor of sitting with my leg up on the sofa.

Also, icing and compression can be accelerated and accentuated with an ice/compression cuff system such as the Aircast Cryo/Cuff Cooler.

Tip 3

Pre-surgery knee strengthening. Keep the leg and knee moving before surgery. Establishing a good range of motion (120 degrees of knee bend) ahead of surgery will help with the healing process post surgery. Ankle pumps help reduce calf muscle atrophy (wasting) where quad sets are essential to minimize quadriceps atrophy.

Walking is good and can be enabled by an ACL brace such as the DonJoy TROM Adjuster Knee Brace. This not only gives you a degree of normality and independence but it also means your calf muscle will work which will reduce atrophy and control swelling. In my case, use of this brace also meant I could drive again 8 days after injury – admittedly I drive an automatic.

Tip 4

Stay ahead of the pain curve. Anyone suffering an ACL injury will be prescribed strong painkillers both immediately after injury and then again after surgery. It is really important that they are taken as prescribed, including during the night. I set the alarm during the night to ensure I did not miss taking the painkillers. This is essential because if the pain gets you it can be very difficult to get rid of and, more importantly, you won’t want to move and moving is critical to rapid recovery.

Tip 5

Post-surgery knee strengthening exercises. As soon as possible post-surgery, begin the exercise regime that will re-build strength and stability, reduce inflammation, and increase range of motion.

Use of a stationary bicycle is extremely important to keep the knee moving. Twice a day, even if just rocking on the pedals in the first few days, was the frequency that saw me make such a paid recovery.

34 Comments

  • dadi dude April 12, 2018 at 8:37 pm

    how to unroot it back??

  • 星球Star April 12, 2018 at 8:37 pm

    Its work for redmi note 3 pro miui 9?

  • Chudy April 12, 2018 at 8:37 pm

    Ty Works

  • Tech with Tarun April 12, 2018 at 8:37 pm

    I failed in last step … It says can not map files… anyone help me out please

  • Simma M April 12, 2018 at 8:37 pm

    my mobile flashed but not turn on

  • Fabiopiano April 12, 2018 at 8:37 pm

    DUDE, thank you very very much! You saved my life! After a week trying I did it! My TRWP was in CHINESE!!!!!! OMG! Thank you!!!!!

  • RaV April 12, 2018 at 8:37 pm

    in kate version too work?

  • Gurinder Sallan April 12, 2018 at 8:37 pm

    does it work on miui 8 stable version

  • Ariful Islam Russel April 12, 2018 at 8:37 pm

    After this can i flash any custom rom??? And can i flash miui rom while I'm using other rom ( for example: LINEAGE to Miui)??? Thank you

  • Alex T April 12, 2018 at 8:37 pm

    Awesome video. Everything worked smoothly and well explained 10/10, thank you

  • Rafael Batista April 12, 2018 at 8:37 pm

    Working in model Kate?

  • arun snt April 12, 2018 at 8:37 pm

    Bro, I am using redmi note 3 model
    I have One error
    FAILED (remote: download for partition 'recovery' is not allowed)
    Pls help

  • Levi Lim April 12, 2018 at 8:37 pm

    i cant seem to get the shift right click part. Im on Windows 10

  • siam montasir April 12, 2018 at 8:37 pm

    Password is rootjunky

  • Anita Vashishtha April 12, 2018 at 8:37 pm

    Thanks it worked!!

  • Shridhar Patil April 12, 2018 at 8:37 pm

    While flashing any rom twrp getting restart automatically
    Please help me

  • Pal April 12, 2018 at 8:37 pm

    at 3:05 when i hold shift and right click, it shows open powershell window here instead of open cmd window here
    what do i do here?

  • Animal World - BD April 12, 2018 at 8:37 pm

    Mi Redmi 3 pro root, need, help me

  • M. A. Mobile Tutoriales April 12, 2018 at 8:37 pm

    I saw that the recovery IMG file says Kenzo, does this work with Kate version?

  • Vipin April 12, 2018 at 8:37 pm

    After flashing i can't select storage for backup my data and my phone stuck with mi logo when reboot

  • Abiyasa Musyafa April 12, 2018 at 8:37 pm

    I got two devices when executing "adb devices" so after that i cant use other comman because detected more that 1 devices. How,?

  • ElPanqueque April 12, 2018 at 8:37 pm

    47 iphone users dont like this
    :V.

  • Yaniv Bahalker April 12, 2018 at 8:37 pm

    Thank you very much!
    FInally can rid of this stupid MIUI OS.

  • Dhayal babu April 12, 2018 at 8:37 pm

    my phone says partition is not allowed wat shall i do

  • Cecep Irwic April 12, 2018 at 8:37 pm

    hi,,
    sir,
    Whether twrp there for all android, because my android new type MIGE M9, hard to find TWRP by type make this if searching in google

  • Shekh Ataul April 12, 2018 at 8:37 pm

    Hey! Thanks, bro. I followed your method with latest SuperSu zip and twrp-3.1.1.0-kenzo and it worked.

  • Pawel P. April 12, 2018 at 8:37 pm

    should i wipe phone before install twrp?

  • Mahesh Reddy April 12, 2018 at 8:37 pm

    if i decide to install a nougat rom on my device with official twrp recovery do i have to flash the lazt flasher zip after flashing the rom ?

  • Malcolm Adger April 12, 2018 at 8:37 pm

    hey i know this video is a bit old but my galaxy note 5 does not show up what do i do?

  • andrew spike April 12, 2018 at 8:37 pm

    can i root with magisk ? i had allready root my phone but i brick it with flash costum rom because i don't use backup OS ….i believe

  • Keyur Rathod April 12, 2018 at 8:37 pm

    Does flashing TWRP recovery breaks OTA update..!!??

  • Varun Sagar April 12, 2018 at 8:37 pm

    is TWRP image file is universal for all the devices or specific for specific devices?please answer

  • Varun Sagar April 12, 2018 at 8:37 pm

    can you please,provide me the root files for coolpadmega 2.5d on your site ?

  • BLOOD SEEKER April 12, 2018 at 8:37 pm

    hey,
    I am getting unknown partition
    error: cannot determine image filename for
    'recoveryc : usersuday shetty desktop fastboot twrp-3.0.2-2-kenzo.img'

    CAN ANYONE HELP ME PLEASE……!

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